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AO 10 Rev.

1/2011

FINANCIAL DISCLOSURE REPORT FOR CALENDAR YEAR 2010


; 2. Court or Organization

Report Required by the Ethics in Government Act of 1978 (5 U.S.C. app. ,~,~" 101-111)

I. Person Reporling (last name, first, middle initial) Smith, George C. 4. Title (Article Ill judge~ indicate active or senior status; magistrate judges indicate full- or part-tlme)

3. Date of Report 04/06/201 I 6. Reporting Period 01/01/2010 to 12/31/2010

United States District Court, Southern District of Ohio


5a. Report Type (check appropriate q,pe) ] Nomination, [] Initial Date [] Annual [] Final

Senior Status

5b. [] Amended Report 7. Chamber~ or Office Address 8. On the basis of the information contained in this Report and any modifications pertaining thereto, it is, in my opinion, in compliance with applicable laws and regulations.

United States District Court 85 Marconi Boulevard, Room 101 Columbus, Ohio 43215

Reviewing Officer

Date

IMPORTANT NOTES: The instructions accompanying this form must be followed Complete all parts,
checking the NONE box for each part where you have no reportable information. Sign on last pag~

I. POSITIONS. eRevom.g inaiviauat o.ly; seeVV. 9-t3 of filing instructions.)


D NONE (No reportable positions.) POSITION
1. Trustee

NAME OF ORGANIZATION/ENTITY

2. 3. 4. 5.

President

Athletic Club of Columbus Red Brick Foundation (Non-Profit Organization)

II. AGREEMENTS. me, orang individual only; see pp. 14-16 of filing instruction~)
[~] NONE (No reportable agreements.)

DATE

PARTIES AND TERMS

Smith, Geor.cle C.

FINANCIAL DISCLOSURE REPORT Page 2 of 6

Name of Person Reporting Smith, George C.

Date of Report 04/06/2011

I I I. NON-INVESTMENT INCOME. (,epor~n, indi,idualandspouse; seepl~ 17-24 of filing instructionx.)


A. Fliers Non-Investment Income
[~ NONE (No reportable non-investment income.) DATE
I. 2010 2. 3. 4.

SOURCE AND TYPE


Pension, Public Employees Retirement System

INCOME (yours, not spouses)


$80,761.34

B. Spouses Non-Investment Income - If you were marded during any portion of the reporting year, complete this section.
(Dollar amount not required except for honoraria.)

NONE (No reportable non-investment income.)


DATE_
I. 2. 3. 4.

SOURCE AND TYPE

IV. REIMBURSEMENTS - transportation, lodging, food, entertainment.


(Includes those to spouse and dependent children," see pp. 25-27 of filing instructions.)

NONE (No reportable reimbursements.)


SOURCE DATES LOCATION PURPOSE ITEMS PAID OR PROVIDED

2. 3. 4. 5.

FINANCIAL DISCLOSURE REPORT Page 3 of 6

Name of Person Reporting Smith, George C.

Date of Report 04/06/2011

V. GIFTS. anclude~ those ,o spouse u.d ,~ependcnt children; see pp. 28-31 of fillng instructions.)

~]
I. 2. 3. 4.

NONF- (No reportable gifts.) SOURCE DESCRIPTION VALUE

5.

VI. LIABILITIES. (Includes those of sp ...... d dependent children; see pp. 32-33 of filing instructlon~)
NONE (No reportable liabilities.) CREDITOR
I. 2. 3. 4. 5.

DESCRIPTION

VALUE CODE

FINANCIAL DISCLOSURE REPORT Page 4 of 6

Name of Person Reporting Smith, George C.

Date of Report 04/06/2011

I.e, VI I. I NVESTMENTS and TRUSTS - i.co ..... transaction~ (Includes those of spouse and dependent children; seepp. 34-60 of fillng instruction~.)
NONE (No reportable income, assets, or transactions.)
Description of Assets (including trust asseLs)
Place "(X)" after each asset exempt from prior disclosure
Income during Gross value at end

Transactions during reporting period (i) Type (e.g., buy, sell, redemption) (2) (3) (4) Date Value Gain mm/dd~,y Code 2 Code I (J-P) (A-H) (5) Identity of buyer/seller (if private transaction)

reporting period (I) (2) Amount Tyl~ (e.g., Code I div., rent, (A-H) or int.)

of reporting period (i) (2) Value Value Method Code 2 (J-P) Code 3 (Q-W) K K K M J J K T T T W T T T

I. 2. 3. 4. 5. 6. 7. 8. 9. 10. 1 I. 12. 13. 14. 15. 16.


17.

Fifth Third Bank, Columbus, OH Fifth Third Bank, Columbus, Ohio Reassure America Life Ins. Co. Ft. Wayne, IN i Merrill Lynch Trust Huntington National Bank New England Fin. Met Life Co. Var. Flex Life Cash Value Natl. Fin. Servs. LLC, NY, NY (5/3 Securities, Cols, OH) Conv. Fac. Rev. Bonds, Hamilton Co., OH Sales Tax Bonds, Hamilton County, OH Ohio State Hospital Fac. Bonds Montgomery Co. OH Trans. Bonds, Austin Rd. Interch. Ohio State Higher Ed.,Common Rev. Hosp. Sidney, Ohio Var. Purp. GO Bonds

C A A D A A C

Interest Interest Dividend Rent Interest Interest Dividend

A A A A A A

Interest Interest Interest Interest Interest Interest

K K K J J K

T T T T T T Buy Buy Buy 09/01/10 09/17/10 07/06/10 J J K

1. Income Gain Codes: {Scc Columns BI and D4) 2. Value Codes ISec Columns CI and D3) 3. Value Method Codes ISce Cohmm C2)

-$1.00~ or less =$50.001 - $100.00~ =$15.000 or less =$250,001 - $500.000 P3 =$25.000,001 - $50.0~0.0~0 =Appraisal =Book Value

B =$ 1,001 - $2,500 G =$100.001 - $1.000.000 K =$15.001 - $50.00Q O=$500,001 - $1,000.000 R ::Co~t (Real Estate Only) V =Olher

C =$2.501 - $5.000 I I I =$1.009.001 - $ 5.000,000 L =$50.001 PI =$1.000.001 - $5.000,000 P4 =More Ihan $50.0(10.000 S =Ass~ssnlen! W =Esfimalcd

D =$5,001 - $15,000 112 =More than $5.000.000 M -$100,001 - $250.000 P2 =$5.000.001 . $25.0~0.000 Y =C~h Mark~

E =$15,001- $50,000

FINANCIAL DISCLOSURE REPORT Page 5 of 6

Name of Person Reporting Smith, George C.

Date of Report 04/06/2011

VIII. ADDITIONAL INFORMATION OR EXPLANATIONS. tlndicatepartoJrepor~)

FINANCIAL DISCLOSURE REPORT Page 6 of 6


IX. CERTIFICATION.

Name of Person Reporting Smith, George C.

Date of Report 04/0612011

I certify that all information given above (including information pertaining to my spouse and minor or dependent children, if any) is accurate, true, and complete to the best of my knowledge and belief, and that any information not reported was withheld because it met applicable statutory provisions permitting non-disclosure. I further certify that earned income from outside employment and honoraria and the acceptance of gifts which have been reported are in compliance with the provisions of 5 U.S.C. app. 501 et. seq., 5 U.S.C. 7353, and Judicial Conference regulations.

Signature: S/George C. Smith

NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND WILFULLY FALSIFIES OR FAILS TO FILE THIS REPORT MAY BE SUBJECT TO CIVIL AND CRIMINAL SANCTIONS (5 U.S.C. app. 104)

Committee on Financial Disclosure Administrative Office of the United States Courts Suite 2-301 One Columbus Circle, N.E. Washington, D.C. 20544

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